Individual
ALYSSA GIOVENCO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
10265 BLUE JAY LN, TRUCKEE, CA 96161-2711
(530) 214-9098
Mailing address
10265 BLUE JAY LN, TRUCKEE, CA 96161-2711
(530) 214-9098
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
329172
CA
Other
Enumeration date
10/11/2025
Last updated
10/11/2025
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